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June 2015

 

A Word from the President


Welcome to the June edition of NAMSS Gateway. I am so excited that registration has opened for the 39th Educational Conference and Exhibition. I hope you are planning to join us in Seattle, Washington, October 3-7 for a packed week of education and networking. This year we will explore a journey of leadership and look at inspirational examples from fellow MSPs that have been able to hone their skills to become strong, more confident leaders. Leadership will play a major role in the industry, as we continue to strengthen our profession and establish MSPs as the gateways to patient safety.

I look forward to seeing everyone at the conference! Enjoy this edition of NAMSS Gateway.

Linda Waldorf, BS, CPMSM, CPCS
NAMSS President
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Greeley May 2015
 

Headlines


News From NAMSS
Register Today for the 39th Educational Conference and Exhibition
NAMSS Awareness Week Photo Contest
Upcoming Webinars
Stay Connected with NAMSS
Expand Your Professional Network!
Monthly Discount

Industry News
"Healthcare Job Boom Continues in May"
"High Student Loan Debt Could Lead to Shortage of Doctors"
"Three Major Academic Medical Systems Impose Minimum-Volume Standards"
"How Does Human Error Lead to Surgical Errors?"
"Thanks, Obamacare? Healthcare Jobs Grow At Fastest Pace Since 1991"
"Anesthesia Bill Puts Patient Safety at Risk"
"Kansas State Hospitals Face Staffing Shortages"
"Interstate Licensing Plan Now Has Enough States to Work"


News From NAMSS


Register Today for the 39th Educational Conference and Exhibition



Join NAMSS in Seattle, Washington, for the 39th Educational Conference and Exhibition, October 3 to 7, 2015. This year’s educational conference will feature more than 30 sessions, giving you the freedom to choose your own educational pathway. Look for the NAMSS 39th Educational Conference and Exhibition Preliminary Program in your mailbox, featuring session descriptions and event details.

Register Today!
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NAMSS Awareness Week Photo Contest

NAMSS invites you to submit a photo that celebrates medical staff and credentialing services professionals in the healthcare community. This is your opportunity to represent the profession to others in our facilities and within our communities. NAMSS will select one photo to display on this year’s National Medical Staff Services Awareness Week poster, which will be included in Synergy and available to download online. The submission deadline is Friday, June 19, 2015.

Click here to review the submission guidelines. All submissions must be emailed to amiller@namss.org by June 19, 2015.
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Upcoming Webinars

Recent NPDB Changes that May Affect the Credentialing Process
June 17, 2015
2:00 – 3:30 pm ET
Speakers: Ernia Hughes, Laura Burns and Jason McGhee
Webinar Host: Health Resources and Services Administration (HRSA)

The National Practitioner Data Bank (NPDB) was created by Congress to improve healthcare quality, protect the public, and reduce healthcare fraud and abuse. The NPDB updated their Guidebook in April 2015. Join NAMSS and HRSA for this interactive webinar to stay up to date on the current trends and information available as you credential in a Managed Care or Health Plan setting. This webinar is free and will not be recorded. Closed captioning will be provided by HRSA.

Register Now!


Attend the New NAMSS PASS Training Webinar!
“Patient Safety: The Critical Role of NAMSS PASS”


The next webinar will be held on: Thursday, June 18 - 1:00 - 2:00 PM EDT

This is a new webinar focusing on Patient Safety and how NAMSS PASS is the critical solution to one of the on-going challenges we face as MSPs. When practitioners do not fully disclose their work history, MSPs are not able to verify what they don't know and places their patients and facilities at risk. This important webinar covers the critical role of how NAMSS PASS addresses this issue. This webinar is free and you will receive one CE credit for attendance.

Click here to register now and to view all upcoming webinar dates!


Complete Overview of the Medicare Hospital Credentialing & Privileging Requirements (Parts I & II)
June 23 and June 25, 2015
2:00 – 3:30 pm ET on both days
This webinar has been approved for 3.0 CE Credits
Presented by David W. Eddinger, RN, MPH

An updated version of the popular session at the NAMSS 2014 Annual Conference, these presentations will include a complete overview of the Medicare Hospital Conditions of Participation related to medical staff credentialing and privileging. This is a two-part webinar occurring on two separate days. Individuals who are unable to attend one of the two days will have access to the recording for four (4) weeks after the conclusion of the webinar.

This webinar will not be sold as a recording.

Register now!


Telemedicine for Medical Staff
July 8, 2015 from 2:00 – 3:30 pm ET
This webinar has been approved for 1.5CEs
Presented by Gary Capistrant, Chief Policy Officer, American Telemedicine Association

Join us on for an in depth look at telemedicine, especially its emerging applications and reimbursement prospects. Remain up to date on the opportunities and positioning for connected care delivery in your practice. Send in any questions ahead of time to education@namss.org.

Register now!


Managed Care Credentialing 101
July 21st, 2015 from 2:00 – 3:30 pm ET
This webinar has been approved for 1.5 CEs
Presented by Deborah Ormay, CPCS, CPMSM

This webinar will introduce participants to managed care credentialing:  why it is done and how it differs from/is similar to credentialing and privileging performed in Medical Staff Offices. Participants will receive an overview of NCQA credentialing and recredentialing criteria. The webinar will identify resources that are available to insure compliance with NCQA standards and to promote understanding of the use of those standards.

Register Now!
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Stay Connected with NAMSS

Have you downloaded the NAMSS Mobile App? Take advantage of this free mobile application that will keep you connected to NAMSS even after you leave the office. Stay up-to-date on industry news, find product discounts, and coming in September—access 39th Educational Conference and Exhibition details! Click here for download instructions.
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Expand Your Professional Network!

LinkedIn is a great tool for expanding your professional network and connecting with MSPs across the country. To get started—create a profile, include a photo and your professional experience. Next, search for your colleagues by name or associated organization. After you have found your existing contacts, branch out and search “medical credentialing,” “medical staff professional,” or other key words to find relevant contacts that may create positive connections. Plus, don’t forget to join the NAMSS LinkedIn Group!


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Industry News


Healthcare Job Boom Continues in May
Modern Healthcare (06/05/15) Sandler, Michael

The healthcare industry added 46,800 jobs last month, almost matching April's biggest monthly increase this year. Bureau of Labor Statistics numbers show that the U.S. economy overall added 280,000 jobs in May, meaning about 1 in 6 were in healthcare. Ambulatory-care services, which includes outpatient-care centers and home healthcare services, together generated nearly 27,600 jobs in May -- a 16.9 percent increase from a month earlier. Within that category, doctor's offices increased their staffs by approximately 5,900 people. Outpatient centers increase payrolls by 4,500 jobs, meanwhile, and home-health agencies added 8,400 jobs. For their part, hospitals added 15,700 jobs, a 5.4 percent month-over-month increase, according to seasonally adjusted figures from the Bureau. Finally, nursing homes and residential-care facilities added 3,500 staffers, or about a third as many as the sector added back in April.
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High Student Loan Debt Could Lead to Shortage of Doctors
Fox 29 (San Antonio) (05/27/2015)

The Association of American Medical Colleges estimates that by 2020, there will be a shortage of 45,000 doctors as many physicians leave the medical field due to high student loans.  The shortage is expected to occur just when the aging Baby Boomer generation needs healthcare the most.  Although nurse practitioners and other medical professionals could help fill the gap, there will still be a strain on the U.S. medical system. Christina Randell of Education Solutions, who works with people to reduce their student loans, estimates that many new doctors graduate with more than $300,000 to $400,000 of educational debt.  Since a doctor's salary for the first few years is relatively low, it makes the debt seem insurmountable to many.
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Three Major Academic Medical Systems Impose Minimum-Volume Standards
Healthcare Dive (05/20/15) Henry, Julie

A trio of major U.S. academic medical systems -- Dartmouth-Hitchcock Medical Center, Johns Hopkins Medicine, and the University of Michigan -- are planning to impose minimum volumes on procedures at their hospitals. In order to obtain or maintain privileges, the three health systems made the decision to require physicians to perform a minimum number of procedures. These decisions followed an analysis conducted by US News & World Report that showed a correlation between low volumes and increased risk. This marks the first coordinated effort to require minimum volumes for hospital privileges. Still, although assigning a minimum threshold number for procedures may be a good starting point, it should not take the place of ongoing professional practice evaluation. Physicians should still be evaluated on a regular, ongoing basis to ensure they are maintaining competence.
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How Does Human Error Lead to Surgical Errors?
WESH NewsChannel 2 (Central Florida) (06/02/15)

Major surgical errors are often dubbed "never events," because they should never happen -- but do. Mayo Clinic researchers recently identified 69 never events among 1.5 million invasive procedures performed over a five-year span and detailed why each occurred. The researchers coded the human behaviors involved to identify any environmental, organizational, job, and individual characteristics that led to the never events. They found that a total of 628 human factors contributed to the errors overall, roughly four to nine per event. The never events ranged from performing the wrong procedure and performing surgery on the wrong site or wrong side of the body to putting in the wrong implant or leaving an object in the patient. All of the errors analyzed occurred at Mayo, and none were fatal. Due to inconsistencies in definitions and reporting requirements, it is difficult to find accurate comparison data. However, a recent study based on information in the National Practitioner Data Bank estimated that the rate of such never events in the United States is nearly double that in this report, approximately 1 in 12,000 procedures. Almost 66 percent of the Mayo never events occurred during fairly minor procedures such as anesthetic blocks and interventional radiology procedures.
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Thanks, Obamacare? Healthcare Jobs Grow At Fastest Pace Since 1991
Forbes (06/05/15) Diamond, Dan

Last Friday's jobs report marked the tenth consecutive month of jobs growth for hospitals, and the sector’s 14th month of jobs gains in the past 15. The hospital sector has now gained over 100,000 jobs in the last year, the Bureau of Labor Statistics calculates. The last time the sector gained this many jobs was in 2008 prior to the Great Recession's effects really kicking in. The private sector has gained 12.3 million jobs since the depths of the economic meltdown. And while it remains to be seen whether Obamacare will turn out to be a job-killer, it has clearly been a major driver of health care jobs growth. The law's effects have been especially felt in the last year, as the Affordable Care Act's dual strategy for coverage expansion -- the launch of the insurance exchanges and growth of the Medicaid program -- has gone into effect. The country's "uninsurance rate" has dipped to a record low of around 11 percent, which is almost half of what it was just a few years ago. According to Forbes columnist Dan Diamond, "That means less bad debt for hospitals, and more revenue. And hospitals increasingly are reporting their best financial performance in years."
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Anesthesia Bill Puts Patient Safety at Risk
Sacramento Bee (05/28/15) Griffis, Charles

Charles Griffis, president of the California Association of Nurse Anesthetists and an associate clinical professor in the UCLA Department of Anesthesiology, describes Assembly Bill 890 as "misguided" and "bad medicine for Californians." The measure, proposed by Assemblyman Sebastian Ridley-Thomas, would expand the intricate field of anesthesiology by allowing anesthesiologist assistants to practice in the Golden State. Griffis points out that these assistants are trained to depend on a supervising specialist anesthesiologist, who might not be immediately available to help with emergency decisions if they are busy supervising several other assistants. This, in turn, could put patients at undue risk. He went on to state that much of the public is unaware of the complexities of administering anesthesia. "It requires providing a precise combination of drugs intravenously or through inhaled gases, often in combination with local anesthetics to numb specific parts of the body," writes Griffis. "The patient needs constant, vigilant monitoring -- something which should only be performed by a highly trained professional." AB 890 unfortunately does not require the assistants to have a California license, nor does it establish any oversight. Griffis also believes the bill would cost the state money because two anesthesia providers -- one an expensive physician specialist -- must be educated to utilize this outdated medically directed model.
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Kansas State Hospitals Face Staffing Shortages
Associated Press (05/25/15)

Some state hospitals in Kansas are facing staffing shortages, according to the Kansas Department on Aging and Disability Services. Osawatomie State Hospital, for instance, has a nearly 40 percent staff vacancy rate, while Larned State Hospital has a vacancy rate of almost 35 percent. The two hospitals are based in small communities where the recruiting and retention of staff is a priority, agency officials say. Low pay and mandatory overtime are likely contributing to the problem, which one state lawmaker described as a "long-term travesty." The research found that vacancy rates are higher for part-time positions.
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Interstate Licensing Plan Now Has Enough States to Work
Medscape (05/21/15) Terry, Ken

Alabama is the seventh state to join the Federation of State Medical Boards (FSMB), setting in motion an agreement designed to make it easier for physicians to be licensed in multiple states.  The other states are Idaho, Minnesota, South Dakota, Utah, West Virginia and Wyoming.  Securing seven states triggered the formation of the Interstate Medical Licensure Compact Commission.  The commission will include physicians, administrators, and members of the public who have been appointed to medical boards in participating states.  Under the compact, physicians who wish to practice in more than one state can be licensed in additional states without having to submit a formal application or to provide another set of records to each state medical board, although they must still pay application fees set by medical boards.  This process is expected to help physicians who practice in metropolitan areas that straddle state lines, as well as doctors who practice telemedicine across state lines. The FSMB and the American Medical Association support the compact because it allows state medical boards to retain control over licensure and the disciplining of physicians who practice within their jurisdictions.
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